Deep Brain Stimulation Therapy (DBS) is when there are electrodes implanated in certain parts of the brain. The reason why they are implanted is because they have the ability to develop electrical pulses. Therefore, this can help manage the abdomral pulses that are found in the brain. Also, another way that these electrodes help is because they target certain cells and chemicals that are found in the brain. The way that this stimulation is monitored and controlled is by a device that looks like a pacemaker. The device is attached on the upper part of one's chest; however, underneath the skin. The way it send signlas to the electrodes is by a wire that is actually ran under the skin as well and it attached from the device to the electrodes found in the brain. This type of treatment is mainly done with individual's who are struggling with movement disorders. An example being a tremor (Mayo Clinic, 2018).
After Surgery Effects:
Infection
Seizure
Headache
Confusion
Difficulty concentrating
Stroke
Temporary pain and swelling at the implantation site
Possible Effects from Stimulation:
Numbness or tingling sensations
Muscle tightness of the face or arm
Problems of Speech
Problems with Balance
Lightheadedness
Vision problems, such as double vision
Unwanted mood changes, such as anger and depression
(Mayo Clinic, 2018).
Helps With:
Parkinson's Disease
Addiction
Chronic pain
Cluster headache
Dementia
Depression (major)
Huntington's disease
Multiple sclerosis
Stroke recovery
Tourette syndrome
Traumatic brain injury
Dystonia
Epilepsy
Essential tremors
Obsessive-compulsive disorder
(Mayo Clinic, 2018).
1997- First approval to treat the tremors found in Parkinson's disease
2002- Approved to treat on the more advanced symtopms of Parkinson's Disease
2016- Latest approval to treat individuals with the premature symptoms of Parkinson's Disease
It has been proven that Deep Brain Stimulation Therapy helps people who are struggling with Parkinson's Disease. Again, while there is no cure for Parkinson's Disease, DBS has shown tremendous significance and importance in both its advancements medically and therapeutically. Studies have shown the benefits of DBS to last for up to five years. These benefits have included decreasing experiences with tremors and alleviating spells (Parkinson's Foundation, n.a.).
In this video the patient displays the before and after effects of DBS. It is demonstrated through a series of test showcasing the benefits of DBS on tremors (Video: MedStar Georgetown University Hospital, 2011).
Research has shown that DBS has a remarkably higher impact on speech and language with comparison to other surgeries like Thalamotomy. Patients who under went Thalamotomy surgery were also at higher risk for speech impairment.The research shown was based on patients with and without essential tremors. DBS allows for paitents to adjust their Implantable Pulse Generator (IPG). The tradeoff for patients with essential tremors allowed them to lower their DBS/IPG settings to counteract their speech difficulty but left them susceptible to tremors. For patients without essential tremors associated with Parkinson's Disease, they did not have to make adjustments to account for their speech and language difficulties (Alomar et al., 2016).
While the benefits of DBS associated with Speech and Language is not a guarantee, it has shown significant adjustment for patients with PD. The benefits are based on patient's tremor diagnosis but the results still implicate positive outcomes (Alomar et al., 2016).
Alomar, S., King, N. K. K., Tam, J., Bari, A. A., Hamani, C., & Lozano, A. M. (2017). Speech and language adverse effects after thalamotomy and deep brain stimulation in patients with movement disorders: A meta‐analysis doi:10.1002/mds.26924
Mayo Clinic (2018, December 14). Deep Brain Simulation. https://www.mayoclinic.org/tests-procedures/deep-brain-stimulation/about/pac-20384562
MedStar Georgetown University Hospital. (2011, July 27). DBS Helps With Essential Tremor (Before and After Device Adjustment) [Video]. YouTube. https://www.youtube.com/watch?v=ONnZy_nJZlE
Neuroscientifically Challenged. (2018, May 11). 2-Minute Neuroscience: Parkinson's Disease [Video]. YouTube. https://www.youtube.com/watch?v=7upHDhAmkqU
Parkinson's Foundation. (2020). Deep Brain Stimulation (DBS). https://www.parkinson.org/Understanding-Parkinsons/Treatment/Surgical-Treatment-Options/Deep-Brain-Stimulation